Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10652 | Date 05/10/2023 |
| Token No | SM/22-23/12966 05/10/2023 | Serial | 012 |
| Patient Name | Mrs. MITA DAS | Contact No | 9674532950 |
| Address | 44/B DEY STREET | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||